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Abstract：
UNASSIGNED: To explore 1) the level of shared decision-making (SDM) participation in intraocular lens (IOL) selection in cataract patients and the factors that influence this participation and 2) the relationships between preparation for decision-making (PrepDM)and the level of SDM participation and satisfaction with the decision (SWD). Provide guidance for improving SDM in ophthalmology.
UNASSIGNED: 176 cataract patients were asked to complete the PrepDM scale, the 9-item Shared Decision Making Questionnaire (SDM-Q-9) and the SWD instrument in IOL decision-making process. Multiple linear regression was used to analyze the influencing factors of the level of SDM. The Process program and bootstrap sampling method was used to test whether the level of participation in SDM was a mediating variable among the three.
UNASSIGNED: The SDM-Q-9 median score was 77.78 (IQR 31.11-88.89). Patients with a history of surgery in the operative eye (P=0.022) or PrepDM <60 points (P<0.001) had lower SDM-Q-9 scores than patients with no history of surgery in the operative eye or PrepDM ≥60 points. Patients with an education level lower than primary school had lower SDM-Q-9 scores than patients with other education levels (P<0.05). The PrepDM of cataract patients was positively correlated with the level of SDM (r=0.768, P<0.001) and with the SWD (r=0.727, P<0.001), and the level of SDM was positively correlated with the SWD (r=0.856, P<0.001). The level of SDM fully mediated PrepDM and SDW, with a mediating effect value of 0.128 and a mediating effect of 86.66% of the total effect.
UNASSIGNED: The SDM of cataract patients involved in IOL selection was in the upper middle range. Education, history of surgery in the operated eye, and PrepDM were factors that influenced the level of SDM. The level of participation in SDM fully mediated the relationship between PrepDM and SWD.
UNASSIGNED: 176 cataract patients were asked to complete the PrepDM scale, the 9-item Shared Decision Making Questionnaire (SDM-Q-9) and the SWD instrument in IOL decision-making process. Multiple linear regression was used to analyze the influencing factors of the level of SDM. The Process program and bootstrap sampling method was used to test whether the level of participation in SDM was a mediating variable among the three.
UNASSIGNED: The SDM-Q-9 median score was 77.78 (IQR 31.11-88.89). Patients with a history of surgery in the operative eye (P=0.022) or PrepDM <60 points (P<0.001) had lower SDM-Q-9 scores than patients with no history of surgery in the operative eye or PrepDM ≥60 points. Patients with an education level lower than primary school had lower SDM-Q-9 scores than patients with other education levels (P<0.05). The PrepDM of cataract patients was positively correlated with the level of SDM (r=0.768, P<0.001) and with the SWD (r=0.727, P<0.001), and the level of SDM was positively correlated with the SWD (r=0.856, P<0.001). The level of SDM fully mediated PrepDM and SDW, with a mediating effect value of 0.128 and a mediating effect of 86.66% of the total effect.
UNASSIGNED: The SDM of cataract patients involved in IOL selection was in the upper middle range. Education, history of surgery in the operated eye, and PrepDM were factors that influenced the level of SDM. The level of participation in SDM fully mediated the relationship between PrepDM and SWD.
摘要：
■探索1）白内障患者在人工晶状体（IOL）选择中的共享决策（SDM）参与水平以及影响这种参与的因素，以及2）决策准备之间的关系-制定（PrepDM）和SDM参与水平以及对决策的满意度（SWD）。为改善眼科SDM提供指导。
■176名白内障患者被要求完成PrepDM量表，9项共享决策问卷（SDM-Q-9）和SWD工具在IOL决策过程中的应用。采用多元线性回归分析SDM水平的影响因素。ProcessprogramandbootstrapsamplingmethodwastotestthelevelofparticipationinSDM是否是三者之间的中介变量。
■SDM-Q-9中位数为77.78（IQR31.11-88.89）。有手术史（P=0.022）或PrepDM<60分（P<0.001）的患者SDM-Q-9评分低于无手术史或PrepDM≥60分的患者。受教育程度低于小学的患者SDM-Q-9评分低于其他受教育程度的患者(P<0.05)。白内障患者PrepDM与SDM水平呈正相关(r=0.768,P<0.001),与SWD呈正相关(r=0.727,P<0.001)。SDM水平与SWD呈正相关(r=0.856,P<0.001)。SDM水平完全介导PrepDM和SDW，中介效应值为0.128，中介效应占总效应的86.66%。
■参与IOL选择的白内障患者的SDM处于中上范围。教育,手术眼的手术史，和PrepDM是影响SDM水平的因素。参与SDM的水平完全介导了PrepDM和SWD之间的关系。
■176名白内障患者被要求完成PrepDM量表，9项共享决策问卷（SDM-Q-9）和SWD工具在IOL决策过程中的应用。采用多元线性回归分析SDM水平的影响因素。ProcessprogramandbootstrapsamplingmethodwastotestthelevelofparticipationinSDM是否是三者之间的中介变量。
■SDM-Q-9中位数为77.78（IQR31.11-88.89）。有手术史（P=0.022）或PrepDM<60分（P<0.001）的患者SDM-Q-9评分低于无手术史或PrepDM≥60分的患者。受教育程度低于小学的患者SDM-Q-9评分低于其他受教育程度的患者(P<0.05)。白内障患者PrepDM与SDM水平呈正相关(r=0.768,P<0.001),与SWD呈正相关(r=0.727,P<0.001)。SDM水平与SWD呈正相关(r=0.856,P<0.001)。SDM水平完全介导PrepDM和SDW，中介效应值为0.128，中介效应占总效应的86.66%。
■参与IOL选择的白内障患者的SDM处于中上范围。教育,手术眼的手术史，和PrepDM是影响SDM水平的因素。参与SDM的水平完全介导了PrepDM和SWD之间的关系。
